MISS AMANDA NICOLE CONNOR PA-C
NPI 1356609523
Physician Assistant - Surgical in St Petersburg, FL
NPI Status: Active since April 25, 2012
Contact Information
601 5TH ST S
306
ST PETERSBURG, FL
ZIP 33701
Phone: (727) 767-3779
Fax: (727) 767-4346
- Individual
- Female
- Physician Assistant
- Surgical
- Accepts Insurance
- PECOS Enrolled
About AMANDA CONNOR
This page provides the complete NPI Profile along with additional information for Amanda Connor, a provider established in St Petersburg, Florida with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1356609523 assigned on April 2012. The practitioner's primary taxonomy code is 363AS0400X with license number PA9106489 (FL). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1356609523
- Provider Name
- MISS AMANDA NICOLE CONNOR PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 601 5TH ST S 306 ST PETERSBURG, FL 33701
- Location Phone
- (727) 767-3779
- Location Fax
- (727) 767-4346
- Mailing Address
- 601 5TH ST S 306 ST PETERSBURG, FL 33701
- Mailing Phone
- (727) 767-3779
- Mailing Fax
- (727) 767-4346
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-25-2012
- Last Update Date
- 04-25-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA9106489
- License State
- FL
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11111 | OTHER (01) | NONE |
Medicare Participation & PECOS Enrollment Status
Amanda Connor is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 5 | 6 | 6 | 0 | 9 | 5 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 10 | 6 | 12 | 0 | 18 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 0 + 6 + 1 + 2 + 0 + 1 + 8 + 5 + 4 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1356609523 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1114912763 | CAROLYN M CAREY MD Individual | Neurological Surgery | 601 5TH ST S 5TH FLOOR ST PETERSBURG, FL 33701 (727) 767-8181 |
| 1285623926 | GABRIELLE ANNE JERVIS MS, GCG Individual | Genetic Counselor, MS | 601 5TH ST S DEPT. 7020 ST PETERSBURG, FL 33701 (727) 767-8559 |
| 1467433318 | DR. MAGDALEN GONDOR M.D. Individual | Pediatrics (Pediatric Pulmonology) | 601 5TH ST S SUITE 708 ST PETERSBURG, FL 33701 (727) 767-8249 |
| 1437131794 | DR. ANTHONY KRISEMAN M.D. Individual | Pediatrics (Pediatric Pulmonology) | 601 5TH ST S SUITE 708 ST PETERSBURG, FL 33701 (727) 767-8249 |
| 1679555098 | DR. PAUL D DANIELSON M.D. Individual | Surgery (Pediatric Surgery) | 601 5TH ST S DEPARTMENT 70-6600 3RD FLOOR ST PETERSBURG, FL 33701 (727) 767-4170 |
| 1417935222 | KENNETH RAYE WASHINGTON MD Individual | Pathology (Pediatric Pathology) | 601 5TH ST S ST PETERSBURG, FL 33701 (727) 767-4341 |
| 1982679510 | EDWARD ZAPOR PA Individual | Physician Assistant (Surgical) | 601 5TH ST S 2ND FLOOR ST PETERSBURG, FL 33701 (727) 767-6666 |
| 1699738419 | MICHAEL CHARLES GALLANT M.D. Individual | Plastic Surgery | 601 5TH ST S DEPARTMENT 70-7895 ST PETERSBURG, FL 33701 (727) 767-4920 |
| 1881643625 | DR. RICHARD PAUL HARMEL JR. M.D. Individual | Surgery (Pediatric Surgery) | 601 5TH ST S DEPARTMENT 70-6600 ST PETERSBURG, FL 33701 (727) 767-4170 |
| 1215989264 | MRS. AMANDA RAE DANIELS ARNP, PNP-BC Individual | Nurse Practitioner (Pediatrics) | 601 5TH ST S ST 306 ST PETERSBURG, FL 33701 (727) 767-8469 |
| 1922045954 | MARGUERITE M CRAWFORD M.D. Individual | Pediatrics (Pediatric Cardiology) | 601 5TH ST S OUTPATIENT CARE CENTER, 2ND FLOOR ST PETERSBURG, FL 33701 (727) 767-3333 |
| 1205873890 | DR. RAFAEL SANTIAGO M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 601 5TH ST S 5TH FLOOR, DEPT 6941 SAINT PETERSBURG, FL 33701 (727) 767-8480 |
| 1902832876 | BRUCE BRYSON STORRS M.D. Individual | Neurological Surgery | 601 5TH ST S SUITE 511 ST PETERSBURG, FL 33701 (727) 767-8181 |
| 1144255738 | CAROLYN M. CAREY, MD, PA Organization | Neurological Surgery | 601 5TH ST S SUITE 511 ST PETERSBURG, FL 33701 (727) 767-8181 |
| 1831235670 | NICOLE CHANDLER MD Individual | Surgery (Pediatric Surgery) | 601 5TH ST S DEPARTMENT 70-6600 ST PETERSBURG, FL 33701 (727) 767-4170 |
| 1518269745 | TIMOTHY PETER SCHMIDT Individual | Nurse Anesthetist, Certified Registered | 601 5TH ST S 5TH FLOOR, DEPT 6941 SAINT PETERSBURG, FL 33701 (612) 703-0640 |
| 1659645992 | MRS. KRISTIN LAUREN ROSENBERG CPNP-AC Individual | Nurse Practitioner (Pediatrics) | 601 5TH ST S SUITE 711 ST PETERSBURG, FL 33701 (727) 322-4830 |
| 1992068753 | STASIA KATHLEEN LEHMANN R.N. Individual | Registered Nurse | 601 5TH ST S SUITE 708 ST PETERSBURG, FL 33701 (727) 767-3995 |
| 1316135437 | SUZANNE M JACKMAN M.D. Individual | Pediatrics (Pediatric Endocrinology) | 601 5TH ST S 5TH FLOOR ST PETERSBURG, FL 33701 (727) 767-3636 |
| 1760485890 | DR. GREGORY A HALE MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 601 5TH ST S 3RD FLOOR ST PETERSBURG, FL 33701 (727) 767-4176 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356609523, enumerated in the NPI registry as an "individual" on April 25, 2012
The provider is located at 601 5th St S 306 St Petersburg, Fl 33701 and the phone number is (727) 767-3779
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: AvMed, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on April 25, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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